JP2004157706A - System and program for request form preparation, and recording medium having request form preparation program recorded therein - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a request form preparation system, which automatically extracts examination items necessary based on an examination report forwarded from an examination organization and prepares a new examination request form. <P>SOLUTION: The request form preparation system 2 stores in a data storage part 12 an examination report form of an examination organization read through a FD drive 6, and displays the examination report form on a display part 8. When a new examination request form is prepared, examination items to be needed are extracted from an examination item storage part 14 based on examination results included in the examination report form, and then the examination request form is prepared, which holds patient information including a name, etc. of a patient contained in the examination report form and the extracted examination items. When the examination request form is prepared, it is possible to refer to reason information stored in a reason information storage unit 16, based on which the examination items are extracted. In addition, the displayed examination request form can be revised by inputting new examination items through an input unit 10. <P>COPYRIGHT: (C)2004,JPO

Description

[0001]
TECHNICAL FIELD OF THE INVENTION
The present invention relates to a request form creating system for creating a new test request form based on a sample test report, a request form creating program, and a recording medium recording the request form creating program.
[0002]
[Prior art]
Conventionally, medical institutions and the like, when performing a diagnosis of a patient, a test taken from a patient, for example, blood, plasma, serum, pathological specimens, etc. It had been requested to an inspection organization. In other words, the collected sample is attached to a test request form that describes the contents of the test request, sent to an inspection organization, or the like, to request the test.
[0003]
In the laboratory, the test of the received sample is performed based on the contents described in the test request, and the test report describing the test results and the like is returned to the medical institution. In a medical institution or the like that receives the test report, a diagnosis on a patient, for example, a diagnosis of diabetes or the like is made based on the test result. In addition, when it is difficult to make a diagnosis for a patient, a request is made to a testing organization or the like for another test.
[0004]
There is a disease name estimating system for estimating a patient's disease name when a patient is examined (see Patent Document 1). According to this system, first, a disease name is estimated based on a patient's chief complaint and symptoms, a test item corresponding to the estimated disease name is searched, and a test to be requested is selected from the searched test items to perform a test. Make a request. Next, test results are obtained, and the disease name of the patient is estimated again based on the obtained test results.
[0005]
[Patent Document 1]
JP-A-8-263568
[Problems to be solved by the invention]
By the way, when a test result is obtained from an inspection organization or the like, it may be difficult to make a diagnosis for a patient based on the obtained test result. In such a case, in order to make a diagnosis for the patient, it is necessary to perform further necessary tests based on the obtained test results.
[0007]
Here, conventionally, a doctor who checked the test results further entered necessary test items in a predetermined test request form or the like and requested the test, so that it was troublesome to prepare the test request form. . Also, since which test to perform based on the test result tends to depend on the proficiency of the doctor, etc., it is difficult for an inexperienced doctor to create a test request form to efficiently request an appropriate test. It was difficult.
[0008]
An object of the present invention is to automatically extract a test item to be next inspected based on an inspection report sent from an inspection organization or the like and create a new inspection request document, a request document creation system, An object of the present invention is to provide a recording medium on which a program and a request form creation program are recorded.
[0009]
[Means for Solving the Problems]
The request form creation system according to claim 1, wherein the test item storage unit stores test items corresponding to the test results of the sample, and a test including patient information on a patient who collected the sample and test result information of the sample. Input means for inputting report information, and based on the test result information included in the test report information input by the input means, from among the test items stored in the test item storage means, A test item extracting means for extracting a test item to be performed next; an examination including the test items extracted by the test item extraction means; and the patient information included in the test report information input by the input means It is characterized by comprising an inspection request form creating means for creating a request form, and an output means for outputting the inspection request form created by the inspection request form creating means.
[0010]
According to the request form creation system of the present invention, an examination item corresponding to the examination result included in the examination report, that is, an examination to be performed next to make a diagnosis on the patient based on the examination result Items are extracted to create a new inspection request form. Therefore, for example, when a test is requested to a testing organization or the like, a test request form for requesting a newly required test is easily created based on the test report prepared by the testing organization or the like. Can be.
[0011]
In the request form creation system according to a second aspect, the inspection item storage means stores a plurality of the inspection items corresponding to the inspection results. According to the request form creation system according to the second aspect, it is possible to create an inspection request form by extracting a plurality of inspection items required next based on the inspection results.
[0012]
Further, the request form creation system according to claim 3, further comprising: basis information storage means for storing basis information for associating the test result with the test item stored in the test item storage means; The request form creating means includes a basis information reference means for referring to the basis information stored in the basis information storage means.
[0013]
According to the request form creation system according to the third aspect, for the extracted test item, for example, the doctor refers to the basis information on the extracted test item and confirms that an appropriate test item is extracted. It can be performed.
[0014]
Further, the request form creating system according to a fourth aspect is characterized in that the inspection request form creating means further includes a request form correcting means for correcting the created inspection request form. According to the request form creation system according to the fourth aspect, for example, a doctor can check the extracted test items and correct the test request form to perform a more appropriate test.
[0015]
In addition, the request creation program according to claim 5 causes a computer to create an inspection request based on the input inspection report information based on the inspection result information included in the inspection report information. A test item extracting unit for extracting a test item to be performed next, a test including the test item extracted by the test item extracting unit, and patient information on a patient who has collected a sample included in the test report information. It is characterized by functioning as an inspection request document creating means for creating a request document, and an output means for outputting the inspection request document created by the inspection request document creating device.
[0016]
According to the request form creation program of the fifth aspect, for example, to request the patient for the next required test item to make a diagnosis from the test result information included in the input test report information. The computer can be operated so that the inspection request form can be easily created.
[0017]
In addition, the recording medium storing the request form creating program according to claim 6 is a computer-readable recording medium storing a computer program for creating an inspection request form based on the input inspection report information. A test item extraction unit for extracting a test item to be performed next based on the result information, the test item extracted by the test item extraction unit, and a patient related to a patient who collected a specimen included in the test report information It records an inspection request document creating means for creating an inspection request document containing information and a request document creating program for functioning as an output device for outputting the inspection request document created by the inspection request document creating device.
[0018]
According to the recording medium on which the request form creating program according to claim 6 is recorded, by reading the request form creating program recorded on the recording medium into a computer, the inspection items required next based on the inspection results The computer can be operated so that the inspection request can be quickly and easily created.
[0019]
BEST MODE FOR CARRYING OUT THE INVENTION
Hereinafter, with reference to the drawings, a process of creating an inspection request form by the request form creating system according to the embodiment of the present invention will be described.
[0020]
FIG. 1 is a block configuration diagram of a request form creation system according to an embodiment. The request form creation system 2 includes a data control unit 4 that controls data in the request form creation system 2. The data control unit 4 includes a flexible disk drive (FD drive) 6 for reading information recorded on the flexible disk and writing information, and a display unit 8 for displaying information and the like read via the FD drive 6. Is connected. The data control unit 4 includes an input unit 10 for inputting information and the like necessary for correcting the created inspection request form and a data storage unit 12 for storing information and the like read via the FD drive 6. It is connected. In addition, the data control unit 4 stores a test item that is required next based on the test result of the sample in association with the test result, and associates the test result with the test item. That is, the basis information storage unit 16 is connected to the basis information storage unit which stores the basis information as the basis for the specific inspection item to be the next inspection item to be performed based on the inspection result. The request form creation system 2 is installed in a medical institution such as a hospital or a clinic.
[0021]
The data storage unit 12 stores information read through the FD drive 6, that is, information on test results of a sample performed in a test institution or the like, for example, blood, plasma, serum, a pathological specimen, or the like. When a program, that is, a request form creation program for causing a computer to function as a request form creation system, is read via the FD drive 6, the read request form creation program is stored. Further, information of an inspection request form for requesting a new inspection created by the request form creating system 2 is stored.
[0022]
In addition, the test item storage unit 14 stores the test item corresponding to the test result, that is, based on the test result, for example, the test item required next to make a diagnosis for the patient corresponds to the test result. It is memorized. For example, in a blood test, a test item necessary for confirming whether or not diabetes is stored as a test item corresponding to a test result having a blood sugar level equal to or higher than a predetermined value. For example, when a plurality of test items are required to confirm whether or not the subject has diabetes, a plurality of test items are stored for the test result.
[0023]
Here, the test results and the test items are associated with each other based on common medical knowledge established in the medical community. That is, a predetermined test result is associated with a test item to be performed next based on an academic paper recognized in the medical community, reports on various cases, and the like.
[0024]
Further, the basis information storage unit 16 stores information as a basis for associating the test item stored in the test item storage unit 14 with the test result, that is, text information such as an academic paper or an academic paper. Information such as a Web site is stored.
[0025]
Next, with reference to the flowchart of FIG. 2, a description will be given of a request form creation process in the request form creation system 2 according to the embodiment.
[0026]
First, in a medical institution, a specimen collected from a patient is associated with an examination request form in which examination contents of the specimen are described and transmitted to the examination institution. Here, the test request form includes patient information including the patient's name, date of birth, age, medical institution name and chart number, test request information including information on the requested test item, and the request destination of the test. The name of the inspection organization is described. The inspection request form is recorded on a flexible disk and sent together with the sample.
[0027]
In the laboratory, the test of the sent sample is performed based on the test request information described in the test request document, a test report including patient information and test results is prepared, and the prepared test report is Send to the medical institution that requested the test. Here, together with the examination report, a request form creation program for creating an examination request form is recorded on a flexible disk and sent to a medical institution.
[0028]
At the medical institution, the flexible disk sent from the inspection institution is inserted into the FD drive 6, and the information of the inspection report is input to the request writing system 2 together with the request writing program recorded on the flexible disk (step). S10, see FIG. 2). That is, the request form creation program recorded on the flexible disk is read via the FD drive 6, and information on the inspection report recorded on the flexible disk is input via the FD drive 6. The computer can perform the processing as the request form creation system 2 by reading the request form creation program.
[0029]
Next, the information of the inspection report input in step S10 is stored in the data storage unit 12 (step S11), and the inspection report stored in the data storage unit 12 is displayed on the display unit 8 (step S12). In other words, patient information including the patient's name, date of birth, age, medical institution name (identification code) and chart number, requested test items, test result information including test results for each test item, and test institution name (test institution The inspection report 20 including the identification code is stored in the data storage unit 12 and displayed on the display unit 8 (see FIG. 3). At this time, a request form creation button 22 is displayed on the display unit 8 together with the inspection report 20, as shown in FIG.
[0030]
Next, it is determined whether the request form creation button 22 displayed on the display unit 8 has been pressed (step S13). That is, it is determined whether or not the request form creation button 22 displayed on the display unit 8 together with the inspection report 20 is selected using a pointing device such as a mouse (not shown) and clicked.
[0031]
If the request form creation button 22 is not clicked (step S13), the processing ends because there is no need to perform the processing for creating the inspection request form.
[0032]
On the other hand, when the request form creation button 22 is clicked (step S13), necessary inspection items are extracted based on the inspection result information included in the inspection report (step S14). That is, the inspection item corresponding to the inspection result information included in the inspection report is extracted from the inspection items stored in the inspection item storage unit 14. For example, for a blood test, a test item stored in association with a test result when the blood glucose level is equal to or higher than a predetermined value, that is, it is necessary next to make a diagnosis as to whether or not the patient has diabetes. The inspection item which becomes becomes.
[0033]
Next, an examination request document is created based on the examination items extracted in step S14 and the patient information included in the examination report stored in the data storage unit 12 (step S15). That is, in order to request an examination of the extracted examination item, an examination request document including the examination request information including the extracted examination item and the patient information included in the examination report is created.
[0034]
Next, the inspection request created in step S15 is displayed on the display unit 8 (step S16). That is, as shown in FIG. 4, an inspection request form 24 including patient information and inspection request information indicating the inspection item extracted in step S14 is displayed on the display unit 8. Here, the basis information buttons 26a, 26b, 26c for referring to the basis information, that is, the information as the basis for associating the test result with the test item, are displayed in association with the test item. The basis information buttons 26a, 26b, 26c are displayed in association with each inspection item. In addition, an output button 28 for outputting the inspection request together with the inspection request 24 and a correction button 30 for correcting the inspection request are displayed on the display unit 8.
[0035]
Next, it is determined whether any of the basis information buttons 26a, 26b, 26c displayed on the display unit 8 has been selected using a pointing device such as a mouse and clicked (step S17). That is, it is determined whether or not any of the ground information buttons 26a, 26b, and 26c has been clicked to refer to the ground information that associates the inspection result with the inspection item.
[0036]
If any of the ground information buttons 26a, 26b, 26c is clicked (step S17), ground information corresponding to the clicked ground information button is displayed on the display unit 8 (step S18). For example, when the basis information button 26a is clicked, the basis information as the basis for associating the test result with the inspection item 1 is extracted from the basis information stored in the basis information storage unit 16 and displayed on the display unit 8. indicate.
[0037]
Here, when text information of an academic paper is stored as the ground information in the ground information storage unit 16, the display unit 8 displays the scientific paper as the basis of the association. When a URL (Uniform Resource Locator) of a Web site that publishes an academic paper or the like is stored as the basis information, the stored URL is displayed on the display unit 8. When the URL is displayed, by connecting to a corresponding Web site via a network such as the Internet, it is possible to refer to the academic paper or the like as the basis. Also, for example, after the user clicks on the basis information button 26a to refer to the basis information on the inspection item 1, for example, clicks a “return” button (not shown) or the like, thereby displaying an inspection request form. You can go back to In this case, by clicking the ground information button 26b or 26c on the screen on which the inspection request form is displayed, the ground information on other inspection items can be referred to.
[0038]
On the other hand, if none of the ground information buttons 26a, 26b, 26c displayed on the display unit 8 is clicked (step S17), the process proceeds to step S19 without displaying the ground information.
[0039]
Next, it is determined whether or not the correction button 30 displayed on the display unit 8 has been selected using a pointing device such as a mouse and clicked (step S19). That is, it is determined whether the correction button 30 has been clicked to correct the inspection request document displayed on the display unit 8.
[0040]
When the correction button 30 is clicked (step S19), the inspection request form is corrected (step S20). That is, in addition to the inspection item displayed on the display unit 8, a new inspection item is input via the input unit 10 to be added, or any of the displayed inspection items is deleted. Modify the request form. Then, the process returns to step S15, where an inspection request document is created again based on the correction in step S20, and the created inspection request document is displayed on the display unit 8 (step S16).
[0041]
When a new inspection item is added, the inspection item is not limited to the inspection item extracted in step S14, and an arbitrary inspection item can be added. In addition, for a new inspection item, for example, all inspection items are displayed in a list format, and a check box provided in front of the displayed inspection item name is checked using a pointing device such as a mouse. Can be added.
[0042]
On the other hand, when the correction button 30 is not clicked (step S19), the created inspection request form is output to the flexible disk via the FD drive 6 (step S21). That is, when the correction button 30 is not clicked and the output button 28 is clicked using a pointing device such as a mouse, the display is displayed on the display unit 8 on a flexible disk inserted into the FD drive 6. The information is output by writing the information of the inspection request form. Note that the output inspection request form does not include the basis information buttons 26a, 26b, and 26c. In addition, the flexible disk storing the test request form is sent to the testing organization together with the sample, and a new test is requested to the testing organization.
[0043]
According to the request form creating system according to this embodiment, based on the inspection results included in the inspection report sent from the inspection organization, the next required inspection item is extracted, and the extracted inspection An examination request form is created using the items and the patient information included in the examination report. Therefore, it is possible to prevent a transcription error or the like of the patient information, and to easily create an examination request form for requesting a further necessary examination based on the examination result.
[0044]
Further, according to the request form creation system according to the embodiment, the examination item associated with the examination result is extracted by the common medical knowledge established in the medical community. Therefore, even an inexperienced physician can create a test request form for requesting the next test item based on the test results, and easily create an appropriate test request form. Can be.
[0045]
Further, according to the request form creation system according to the embodiment, it is possible to refer to the basis information of the academic paper or the like as the basis for associating the inspection result with the extracted inspection item. Therefore, for example, by a doctor or the like confirming the basis on which the test item is extracted, it is possible to give sufficient informed consent to the patient why the test for such a test item is necessary. , Can support the provision of high-quality medical care.
[0046]
Further, according to the request form creating system according to the embodiment, it is possible to make a correction such as adding a new inspection item to the created inspection request form or deleting the extracted inspection item. Therefore, a doctor can easily create a more appropriate test request form by correcting the test request form after confirming the extracted test items.
[0047]
In the request form creation system according to the embodiment, an FD drive is provided as an output unit. However, a communication control unit or the like may be provided instead of the FD drive or together with the FD drive. In this case, the test institution system installed at the testing institution and the request form creation system installed at the medical institution are connected via a network to request information on the test report created by the testing institution system. It can be received via a network in the document creation system.
[0048]
Further, in the above-described request form creation system, the request form creation program recorded on the flexible disk is read. By downloading the request form creation program via a network such as the Internet and incorporating the same in a computer, The computer may be made to function so that the request form creation process can be performed. In this case, a request form creation program is received via the network together with the information on the inspection report, and an inspection request form for requesting an inspection for the next required inspection item based on the received information on the inspection report is generated. It can be created and transmitted to a laboratory system over a network.
[0049]
In the above-described request form creation system, the inspection report and the request form creation program recorded on the flexible disk are input via the FD drive, but the request form creation program is recorded on another recording medium. May be. That is, it may be recorded on another computer-readable recording medium such as a CD-ROM and a DVD.
[0050]
【The invention's effect】
According to the present invention, a test item corresponding to a test result included in a test report, that is, a test item to be performed next to make a diagnosis on a patient based on the test result is extracted, and a new test item is extracted. I have created a request form. Therefore, for example, a test request for a new test can be easily prepared based on a test report prepared by a test organization or the like. In addition, even an inexperienced doctor can easily and efficiently create an appropriate examination request form.
[0051]
Further, referring to the basis information for associating the test result with the test item, the doctor can refer to the basis information on why the test item was extracted by the doctor, for the extracted test item. Therefore, when explaining the necessity of performing a new test for a patient, a clear basis can be presented, and sufficient informed consent can be provided.
[Brief description of the drawings]
FIG. 1 is a block configuration diagram of a request form creation system according to an embodiment of the present invention.
FIG. 2 is a flowchart for explaining a process of creating an inspection request form by the request form creating system according to the embodiment of the present invention;
FIG. 3 is a diagram for explaining a display state of an inspection report according to the embodiment of the present invention.
FIG. 4 is a diagram for explaining a display state of an inspection request form according to the embodiment of the present invention.
[Explanation of symbols]
2 ... Request form creation system, 4 ... Data control unit, 6 ... FD drive, 8 ... Display unit, 10 ... Input unit, 12 ... Data storage unit, 14 ... Test item storage unit, 16 ... Basic information storage unit, 20 ... Inspection report, 22 ... Request creation button, 24 ... Inspection request, 26a, 26b, 26c ... Evidence information button, 28 ... Output button, 30 ... Correct button.

Claims (6)

Test item storage means for storing test items corresponding to the test results of the sample;
Input means for inputting test report information including patient information and test result information of the sample regarding the patient who collected the sample,
An inspection item for extracting an inspection item to be performed next from the inspection items stored in the inspection item storage unit based on the inspection result information included in the inspection report information input by the input unit Extraction means;
An examination request document creation unit that creates an examination request document that includes the examination items extracted by the examination item extraction unit and the patient information included in the examination report information input by the input unit;
An output unit that outputs the inspection request document created by the inspection request document creation unit. 2. The request form creation system according to claim 1, wherein said inspection item storage means stores a plurality of said inspection items in correspondence with said inspection results. A rationale information storage unit that stores rationale information for associating the test result with the test item stored in the test item storage unit, wherein the test request form creation unit stores the rationale information storage unit 3. The request form creation system according to claim 1, further comprising: basis information reference means for referring to said basis information. The request form creating system according to any one of claims 1 to 3, wherein the inspection request form creating means further includes a request form modifying means for modifying the created examination request form. A computer for creating an inspection request based on the entered inspection report information,
An inspection item extracting unit that extracts an inspection item to be performed next based on the inspection result information included in the inspection report information,
An examination request form creating unit that creates an examination request form including the examination items extracted by the examination item extraction unit and patient information on a patient who has collected a specimen included in the examination report information;
A request book creation program for functioning as an output unit that outputs the inspection request book created by the inspection request book creation unit. A computer for creating an inspection request based on the entered inspection report information,
An inspection item extracting unit that extracts an inspection item to be performed next based on the inspection result information included in the inspection report information,
An examination request form creating unit that creates an examination request form including the examination items extracted by the examination item extraction unit and patient information on a patient who has collected a specimen included in the examination report information;
A computer-readable recording medium recording a request form creation program for functioning as an output unit that outputs the inspection request form created by the inspection request form creation unit.

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